A colonic duplication cyst causing bowel ischaemia in a 74-year-old lady

Fenelon, Christopher; Boland, Michael R.; Kenny, Brian; Faul, P.; Tormey, Shona

doi:10.1093/jscr/rjw147

Cited by 10 publications

(18 citation statements)

References 9 publications

(11 reference statements)

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“…Gastrointestinal duplications are identified by the screening methods prenatally during pregnancy or in the first two years of life at a rate of 67-80% [1,3,4]. It may rarely be asymptomatic and may remain unattended until adulthood [3,4].…”

Section: Discussionmentioning

confidence: 99%

“…Duplications are classified according to location, structure [cystic (80%) or tubular (20%)], and presence of ectopic tissue (gastric mucosa is present in 50% of cases) [1,3]. The point to note in this classification is that these three parameters are decisive in determining the clinical phenomenon.…”

Section: Discussionmentioning

confidence: 99%

“…Gastrointestinal duplication cysts are rare congenital malformations without a clearly understood etiology [1]. Duplications are very occasionally observed abnormalities and most of them occur in the abdominal cavity (75%), however, they can be present at any point along the gastrointestinal tract from the oral cavity to the anus [1]. Gastrointestinal duplication cysts are predominantly detected before the age of 2 years [1].…”

Section: Introductionmentioning

confidence: 99%

“…Duplications are very occasionally observed abnormalities and most of them occur in the abdominal cavity (75%), however, they can be present at any point along the gastrointestinal tract from the oral cavity to the anus [1]. Gastrointestinal duplication cysts are predominantly detected before the age of 2 years [1]. They are rarely found in the colon and very few cases have been described in adults [1].…”

Section: Introductionmentioning

confidence: 99%

“…Gastrointestinal duplication cysts are predominantly detected before the age of 2 years [1]. They are rarely found in the colon and very few cases have been described in adults [1]. Clinical features of colonic duplication include vague abdominal pain, abdominal mass, and chronic constipation all of which occur due to pressure or direct effects of the lesion [2].…”

Section: Introductionmentioning

confidence: 99%

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Undetected Duplication Cyst of The Cecum Until Adulthood

et al. 2018

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Intestinal duplication is a rare congenital anomaly of the digestive tract. It is often diagnosed antenatally or in the first two years of life. It is observed anywhere in the digestive tract, often in ileum and jejunum. We present a rare case of colonic duplication cyst in adult age in this paper. Our case was diagnosed by ultrasonography performed due to the complaint of chronic abdominal pain and was followed up for 18 months. The patient underwent surgery due to strong suspicion of malignancy. During the operation, the cyst was accessed only after palpation and was resected together with the right colon. The definitive diagnosis could be made by pathological examination. Duplication cysts can cause significant morbidity and even mortality if left untreated. For this reason, it is important to recognize this rare congenital anomaly.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Undetected Duplication Cyst of The Cecum Until Adulthood

et al. 2018

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A rare case of acute abdomen in the adult: The intestinal duplication cyst. case report and review of the literature

Ricciardolo

Iaquinta

et al. 2019

Annals of Medicine and Surgery

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IntroductionDuplications of the gastrointestinal tract are rare congenital anomalies that can occur anywhere throughout the gastrointestinal tract. The reported incidence is 1/4500, and more than 80% occurs before the age of two as an acute abdomen or bowel obstruction. The most common site is Ileum (60%), while the colonic localisation is reported between 4 and 18%.Presentation of the caseHerein we report the case of a 35-year-old man, presented at the Emergency Department with fever and localised abdominal pain in the right iliac fossa. Preoperative abdominal ultrasound and CT scan showed a cystic mass of 44 × 43 × 70 mm adjoining the posterior wall of the right colon. He underwent explorative laparoscopy, laparotomy conversion, right hemicolectomy with an intra-operative diagnosis of colonic duplication cyst, confirmed by histology.DiscussionThe review of the literature showed as the intestinal duplication cysts are rare congenital anomalies. The clinical presentation is variable and depends on the site and the related complications. A surgical approach based on the resection of the involved bowel tract is the treatment associated with the best long-term outcomes.ConclusionIt is important to include intestinal duplication in the differential diagnosis of acute abdomen, to ensure the best therapeutic strategy.

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Tubular sigmoid duplication in an adult man: an interesting incidental finding

Asour¹,

Kim

Arya

et al. 2017

BMJ Case Reports

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A 61-year-old man attended an outpatient colorectal clinic for a chronic, non-specific abdominal pain, associated with rectal bleeding. He underwent a number of investigations including a CT pneumocolon, which revealed an incidental finding of 20 cm of additional sigmoid colon. This case is interesting because tubular sigmoid duplication is an extremely unusual condition, rarely diagnosed in adults; only a few cases have been reported of this condition in the adult population. Our team chose to treat this patient conservatively, in order to avoid putting the patient at risk of an unnecessary surgery.

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A colonic duplication cyst causing bowel ischaemia in a 74-year-old lady

Cited by 10 publications

References 9 publications

Undetected Duplication Cyst of The Cecum Until Adulthood

Undetected Duplication Cyst of The Cecum Until Adulthood

A rare case of acute abdomen in the adult: The intestinal duplication cyst. case report and review of the literature

Tubular sigmoid duplication in an adult man: an interesting incidental finding

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